DISTAL RADIOULNAR LIGAMENT MOTION DURING SUPINATION AND PRONATION

被引:28
作者
ACOSTA, R [1 ]
HNAT, W [1 ]
SCHEKER, LR [1 ]
机构
[1] CHRISTINE M KLEINERT INST HAND & MICROSURG,LOUISVILLE,KY
关键词
D O I
10.1016/0266-7681(93)90159-D
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The dorsal and palmar distal radio-ulnar ligaments (DRUL) play an important role in the stability of the distal radio-ulnar joint (DRUJ). Various authorities, however, hold opposite opinions regarding DRUL motion during DRUJ pronation and supination, thus implying opposite techniques for reconstruction of the unstable DRUJ. With the hypothesis that relative displacement would increase in the dorsal DRUL during pronation and would increase in the palmar DRUL during supination, measurements were made of the relative DRUL displacement with a Hall-effect displacement transducer during DRUJ pronation and supination in six fresh cadaver wrists. The hypothesis was confirmed that the dorsal radio-ulnar ligament undergoes relative displacement during pronation, while the palmar radio-ulnar ligament undergoes relative displacement during supination.
引用
收藏
页码:502 / 505
页数:4
相关论文
共 9 条
[1]
Bowers, Distal radio-ulnar joint arthroplasty: The hemiresection-interposition technique, Journal of Hand Surgery, 10 A, 2, pp. 169-178, (1985)
[2]
Dingman, Resection of the distal end of the ulna (Darrach operation): An end-result study of twenty-four cases, Journal of Bone Joint Surgery, 34 A, 4, pp. 893-900, (1952)
[3]
Doebelin, Measurement Systems: Application and Design, (1990)
[4]
Ekenstam, Hagert, Anatomical studies on the geometry and stability of the distal radio-ulnar joint, Scandinavian Journal of Plastic and Reconstructive Surgery, 19, pp. 17-25, (1985)
[5]
Kapandji, The Kapandji-Sauvéoperation, Annales de Chirurgie de la Main, 5, 3, pp. 181-193, (1986)
[6]
Mikic, Detailed anatomy of the articular disc of the distal radioulnar joint, Clin Orthop Relat Res, 245, pp. 123-132, (1989)
[7]
Palmer, Werner, The triangular fibrocartilage complex of the wrist-anatomy and function, Journal of Hand Surgery, 6, 2, pp. 153-162, (1981)
[8]
Schuind, An, Berglund, Et al., The distal radioulnar ligaments: A biomechanical study, Journal of Hand Surgery, 16 A, 6, pp. 1106-1114, (1991)
[9]
Watson, Ryu, Burgess, Matched distal ulnar resection, Journal of Hand Surgery, 11 A, 6, pp. 812-817, (1986)